DR. MARCIA WILLIS BROCK (NPI# 1407857303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407857303 |
| Entity Type | Individual |
| Full Name | DR. MARCIA WILLIS BROCK |
| Credential | PHARMD |
| Practice Address |
1500 E Shotwell St Bainbridge GA 39819-4256 |
| Mailing Address |
3077 Fowlstown Rd Bainbridge GA 39819-6632 |
| Practice Telephone | 2292436163 |
| Practice Fax Number | 2292433327 |
| Mailing Telephone | 2292436163 |
| Mailing Fax Number | 2292433327 |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 018452 | GA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962626911 | Marcia Hudgins Brock | Speech-Language Pathologist | 729 Ridgecrest Rd, Lagrange, GA 30240-2147 | 2007-04-12 |
| Street Address |
1500 E SHOTWELL ST |
| City | BAINBRIDGE |
| State | GA |
| Zip Code | 39819-4256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184623399 | Ellen King | Pharmacist | 1500 E Shotwell St, Bainbridge, GA 39819-4256 | 2005-07-19 |
| 1518430552 | Paula Adams | Physical Therapist | 1500 E Shotwell St, Bainbridge, GA 39819-4256 | 2019-01-02 |
| 1851884068 | Zacharey Alan Powell | Family Medicine | 1500 E Shotwell St, Bainbridge, GA 39819-4256 | 2018-06-12 |
| 1992224265 | Decatur Emergency Physicians LLC | Emergency Medicine | 1500 E Shotwell St, Bainbridge, GA 39819-4256 | 2017-09-18 |
| 1720515075 | Keller Williams Galpin | Physical Therapist | 1500 E Shotwell St, Bainbridge, GA 39819-4256 | 2017-05-17 |
| 1356735336 | Southland Bainbridge Hospitalist Group, LLC | Hospitalist | 1500 E Shotwell St, Bainbridge, GA 39819-4256 | 2015-03-27 |
| 1770981086 | Katherine T Kelley | Nurse Anesthetist, Certified Registered | 1500 E Shotwell St, Bainbridge, GA 39819-4256 | 2014-12-18 |
| 1073935243 | Ginger Spence | Pharmacist | 1500 E Shotwell St, Bainbridge, GA 39819-4256 | 2014-01-07 |
| 1144569484 | Gregory Daryl Hall | Physical Therapist | 1500 E Shotwell St, Bainbridge, GA 39819-4256 | 2013-02-06 |
| 1275806085 | Sumalee Watson | Physical Therapist | 1500 E Shotwell St, Bainbridge, GA 39819-4256 | 2012-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841455599 | Dayna Malia Watson | Counselor | 410 West St., Bainbridge, GA 39819 | 2008-07-22 |
| 1740324342 | Jack Hobson Leverett Sr. | Dentist | 1515 Miluli Ave, Bainbridge, GA 39819 | 2007-02-16 |
| 1033212634 | Primary Care Inc | Family Medicine | 315 S Blvd Dr, Bainbridge, GA 39819 | 2006-09-07 |
| 1326060187 | Donald Ray Robinson | Obstetrics & Gynecology | 1501 E Miluli Avenue, Bainbridge, GA 39819 | 2006-07-24 |
| 1255385126 | Linda Jones | Emergency Medicine | 1500 E. Shotwell St., Memorial Hospital & Manor, Bainbridge, GA 39819 | 2006-05-22 |
| 1962464578 | Lillian Ann Crews | Physical Therapy Assistant | 713 East Shotwell St, Bainbridge, GA 39819 | 2006-04-06 |
| 1134181738 | Rachel S Lauder | Physical Therapist | 713 E Shotwell Street, Bainbridge, GA 39819 | 2006-04-06 |
| 1275012015 | Lisa J Sellers | Nurse Practitioner | 509 Wheat Ave, Bainbridge, GA 39819 | 2018-08-13 |
| 1588186324 | Hospital Authority of The City of Bainbridge and Decatur County | Pharmacy | 1500 East Shotwell Street, Bainbridge, GA 39819 | 2017-07-13 |
| 1861531915 | Burke & Robinson Md PC | Obstetrics & Gynecology | 1501 E Miluli Avenue, Bainbridge, GA 39819 | 2007-02-05 |
| Find all providers in zip 39819 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093085524 | Dena Cutts Donalson | Pharmacist | 215 River Oaks Dr, Bainbridge, GA 39817-1030 | 2011-12-30 |
| 1033491253 | Chima E Ihedigbi | Pharmacist | 1905 Caroline St Apt E, Bainbridge, GA 39819-4271 | 2011-09-14 |
| 1396966685 | Peggy Brennan Fordham | Pharmacist | 1500 Shutwell Street, Bainbridge Memorial Hospital, Bainbridge, GA 39817 | 2007-05-02 |
| 1871636688 | Lana Bush Franklin | Pharmacist | 915 E Shotwell St, Bainbridge, GA 39819-4147 | 2007-02-14 |
| 1477502953 | Tracy Odom | Pharmacist | 500 E Alice St, Bainbridge, GA 39819-4998 | 2006-05-10 |
| 1073505731 | Richard Lynn Smith | Pharmacist | 823 S Scott St, Bainbridge, GA 39819-8702 | 2005-08-18 |
| 1184623399 | Ellen King | Pharmacist | 1500 E Shotwell St, Bainbridge, GA 39819-4256 | 2005-07-19 |
| 1265032858 | Carlson Kububu | Pharmacist | 500 E Alice St, Bainbridge, GA 39819-4998 | 2020-11-01 |
| 1114527249 | Henisha H Patel | Pharmacist | 500 E Alice St, Bainbridge, GA 39819-4998 | 2020-10-28 |
| 1912514845 | Tiffany Kathleen Spooner | Pharmacist | 1205 E Shotwell St, Bainbridge, GA 39819-4237 | 2020-09-24 |
| Find all providers in BAINBRIDGE | ||||
| City | BAINBRIDGE |
| Zip Code | 39819 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.